Nocturnist - Night Hospitalist

Nocturnist Physician Hospital Medicine

The Nocturnist Physician provides overnight inpatient medical care for hospitalized adult patients. This role focuses on admissions, cross-coverage, and management of acute medical issues during nighttime hours. The nocturnist works collaboratively with nursing staff, consulting services, and daytime hospitalist teams to ensure continuity of care and patient safety.

Key responsibilities include:

Provide overnight medical coverage for adult inpatients

Perform new patient admissions, including histories, physical examinations, and treatment plans

Manage acute changes in patient condition and respond to medical emergencies

Provide cross-coverage for existing inpatients, including order management and clinical reassessment

Collaborate with on-call specialists and ancillary services as needed

Participate in rapid response and code situations as required

Communicate pertinent patient information to daytime providers during handoffs

Maintain timely, accurate, and compliant documentation in the electronic health record

Support quality improvement initiatives and patient safety standards

Schedule and coverage details include:

Night shift coverage in an inpatient hospital setting

Schedule may include block nights or rotating coverage

Weekend and holiday coverage may be required

The patient population includes:

Adult inpatient medical patients

Broad range of acute and chronic medical conditions

Variable acuity depending on facility resources

Qualifications required are:

MD or DO from an accredited medical school

Completion of an accredited Internal Medicine or Family Medicine residency

Board certified or board eligible in Internal Medicine or Family Medicine

Eligible for unrestricted medical licensure in the practicing state

DEA registration or eligibility

ACLS certification (or ability to obtain)

Skills and competencies include:

Strong independent clinical decision-making skills

Ability to manage urgent and high-acuity conditions overnight

Excellent communication and handoff skills

Ability to work efficiently in a fast-paced inpatient environment

Commitment to patient-centered, evidence-based care

Work environment includes:

Acute care hospital setting

Team-based, multidisciplinary care model

High level of autonomy with appropriate specialty support

Commonwealth Medical Services